Individual provider Active NPI

Ravi Kumar R Singareddy, MD

  • Psychiatry Physician
  • Suwanee, GA
National Provider Identifier
1407809122
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
77783 Issued in GA
Practice address
3890 Johns Creek Pkwy Ste 200
Suwanee, GA 30024-1286
Phone
(770) 615-0226
Fax
(770) 800-2018
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 77783 GA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 77783 GA
Psychiatry Physician 2084P0800X 77783 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy Ste 200
Suwanee, GA 30024-1286

Mailing address

3651 Peachtree Pkwy Ste E-359
Suwanee, GA 30024-6034
Phone (770) 615-0226

Other identifiers 1

IdentifierTypeStateIssuer
1010248790001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000555 GA Practitioner - PsychiatryPractitioner - Internal Medicine 7517932684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3390 Paddocks Pkwy
Suite 200
Suwanee, GA 30024-9119
Phone (770) 615-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77783GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Psychiatry & Sleep LLC Psychiatry CurrentSince Aug 23, 2017 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Tampa Bay Psychiatry & Sleep Disorders, PLLC Sleep Medicine Past Accepting new patients

Locations

3390 Paddocks Pkwy
Ste 200
Suwanee, GA 30024
Phone (770) 615-0226

3651 Peachtree Pkwy
Ste E359
Suwanee, GA 30024

3890 Johns Creek Pkwy
Ste 200
Suwanee, GA 30024
Phone (717) 608-2973

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26802/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/67e5ec72-de88-4fc7-ba34-a88699b7a637/
  • Direct secure messaging: ravi.kumar.singareddy.1@26802.direct.athenahealth.com
  • Direct secure messaging: ravi.singareddy@hca5.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407809122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 PEACHTREE PKWY STE E-359",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246034",
            "telephone_number": "770-615-0226",
            "fax_number": "770-800-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241286",
            "telephone_number": "770-615-0226",
            "fax_number": "770-800-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGAREDDY",
        "first_name": "RAVI KUMAR",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "77783",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "GA",
            "license": "77783",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "77783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010248790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.